Detachable imaging device, endoscope having a detachable imaging device, and method of configuring such an endoscope

ABSTRACT

An endoscope includes a detachable wireless imaging device and an insertion tube having a distal end region. The attachment of the detachable wireless imaging device detachably attaches the detachable wireless imaging device to the distal end region of the insertion tube.

This application claims the benefit of U.S. Provisional Patent Application No. 60/750,325, filed Dec. 13, 2005, the entire disclosure of which is incorporated herein by reference.

This application also claims the benefit of U.S. Provisional Patent Application No. 60/761,475, filed Jan. 23, 2006, the entire disclosure of which is incorporated herein by reference,

This application also claims the benefit of U.S. Provisional Patent Application No. 60/772,442, filed Feb. 9, 2006, the entire disclosure of which is incorporated herein by reference.

This application further claims the benefit of U.S. Provisional Patent Application No. 60/802,056, filed May 19, 2006, the entire disclosure of which is incorporated herein by reference,

The entire disclosure of U.S. Patent Application No. 11/215,660, filed Aug. 29, 2005, is incorporated herein by reference.

TECHNICAL FIELD OF THE INVENTION

The present invention relates to a detachable imaging device, an endoscope having a detachable imaging device, and a method of configuring an endoscope with a detachable imaging device.

BACKGROUND OF THE INVENTION

An endoscope is a medical device comprising a flexible tube and a camera mounted on the distal end of the tube. The endoscope is insertable into an internal body cavity through a body orifice to examine the body cavity and tissues for diagnosis. The tube of the endoscope has one or more longitudinal channels, through which an instrument can reach the body cavity to take samples of suspicious tissues or to perform other surgical procedures such as polypectomy.

There are many types of endoscopes, and they are named in relation to the organs or areas with which they are used. For example, gastroscopes are used for examination and treatment of the esophagus, stomach and duodenum; colonoscopes for the colon; bronchoscopes for the bronchi; laparoscopes for the peritoneal cavity; sigmoidoscopes for the rectum and the sigmoid colon; arthroscopes for joints; cystoscopes for the urinary bladder; and angioscopes for the examination of blood vessels.

Each endoscope, has a single forward viewing camera mounted at the distal end of the endoscope to transmit an image to an eyepiece or video camera at the proximal end. The camera is used to assist a medical professional in advancing the endoscope into a body cavity and looking for abnormalities. The camera provides the medical professional with a two-dimensional view from the distal end of the endoscope. To capture an image from a different angle or in a different portion, the endoscope must be repositioned or moved back and forth. Repositioning and movement of the endoscope prolongs the procedure and causes added discomfort, complications, and risks to the patient. Additionally, in an environment similar to the lower gastro-intestinal tract, flexures, tissue folds and unusual geometries of the organ may prevent the endoscope's camera from viewing all areas of the organ. The unseen area may cause a potentially malignant (cancerous) polyp to be missed.

This problem can be overcome by providing an auxiliary camera, which presents an image of the areas not viewable by the endoscope's main camera. The auxiliary camera can be oriented backwards to face the main camera. This arrangement of cameras can provide both front and rear views of an area or an abnormality. In the case of polypectomy where a polyp is excised by placing a wire loop around the base of the polyp, the camera arrangement allows better placement of the wire loop to minimize damage to the adjacent healthy tissue.

Unfortunately, most of the endoscopes currently in use do not have such an auxiliary camera. To replace these existing endoscopes with new endoscopes with auxiliary cameras is expensive. Therefore, it is desirable to provide the existing endoscopes with retrofit auxiliary cameras. Additionally, to avoid the costs of modifying existing endoscopes, it is desirable to provide retrofit auxiliary cameras that do not require significant modification of the existing endoscopes.

Although a channel of an endoscope can be used to accommodate an auxiliary camera that does not require modification of the endoscope, the loss of a channel may impair the endoscope's ability to perform all of its designed functions. Thus the ability of the retrofit auxiliary camera to function without using an endoscope channel is desirable.

SUMMARY OF THE INVENTION

According to some aspects of the present invention, a retrofit auxiliary camera is provided that does not require significant modification of an existing endoscope or use of a channel of the endoscope, thereby avoiding the costs of modifying the endoscope and preserving all of the endoscope's designed functions.

In accordance with one aspect of the invention, a detachable imaging device can be attached to a distal end region of an endoscope's insertion tube. The detachable imaging device includes an attachment that can detachably attach the imaging device to the distal end region of the endoscope's insertion tube. The detachable imaging device includes also a wireless imaging element connected to the attachment.

In accordance with another aspect of the invention, an endoscope includes a detachable imaging device and an insertion wipe having a distal end region. The detachable imaging device includes an attachment that detachably attaches the detachable imaging device to the distal end region of the insertion tube, and a wireless imaging element connected to the attachment.

In accordance with a further aspect of the invention, a method of configuring an endoscope includes attaching an attachment of a detachable imaging device of an endoscope to a distal end region of the insertion tube of the endoscope.

In accordance with one embodiment of the invention, the attachment includes a ring. Preferably, the ring has an inner diameter that is designed to provide a friction fit between the inner surface of the ring and a cylindrical outer surface of the distal end region of the insertion tube of the endoscope. The inner diameter of the ring may be slightly-smaller than the outer diameter of the distal end region of the insertion tube to provide the friction fit. Also the inner surface of the ring may include a rubber or silicon surface.

In accordance with another embodiment of the invention, the detachable imaging device includes a link that connects the imaging device to the attachment. Preferably, the link is flexible.

In accordance with yet another embodiment of the invention, the detachable imaging device includes an external control box that is configured to adjust parameters of the wireless imaging element.

In accordance with another embodiment of the invention, the detachable imaging device includes an external control box that is configured to send images from the wireless imaging element to a patient records database,

In accordance with still another embodiment of the invention, the detachable imaging device includes a support mechanism that increases the rigidity of the detachable imaging device and reduces the bending of the link.

In accordance with yet still another embodiment of the invention, the wireless imaging element includes an imaging unit and/or a light source. The imaging Unit may be mounted on the proximal end of the wireless imaging element and faces towards a main imaging device mounted on the distal end of the insertion tube. Preferably, the imaging unit and the main imaging device provide different views of the same area. To reduce light interference, the imaging element and the main imaging device and their light sources may be turned on and off alternately. Preferably the imaging element and the main imaging device and their light sources are turned on and off at a sufficiently high frequency that the eyes do not sense that the imaging element and the main imaging device and their light sources are intermittently turned on and off.

The wireless imaging element may include another imaging unit, which is mounted on the distal end of the wireless imaging element and faces in the same direction as the main imaging device. The wireless imaging element may also include another light source, which is mounted on the distal end of the Wireless imaging element and faces in the same direction as the main imaging device.

In accordance with a further embodiment of the invention, the wireless imaging element includes a channel aligned with a channel of the insertion tube. This channel of the wireless imaging element may extend from the proximal end of the wireless imaging element to the distal end of the wireless imaging element.

In accordance with a still further embodiment of the invention, the wireless imaging element includes a housing that is used to accommodate the wireless imaging unit. Preferably, the housing includes two housing elements that sealingly form the housing.

In accordance with a yet still further embodiment of the invention, the detachable imaging device includes a link that connects the imaging device to the attachment. Preferably, the link, attachment, and one of the housing elements form a unitary unit.

In accordance with another embodiment of the invention, the wireless imaging element is accommodated within the attachment. In some embodiments, the detachable imaging device includes two or more wireless imaging elements, and the wireless imaging elements are mounted on at least one of the distal end, proximal end and side of the attachment.

Although certain aspects of the present invention have been discussed so far in terms of a retrofit auxiliary imaging device, it should be emphasized that the present invention is not limited to a retrofit auxiliary imaging device. On the contrary, a detachable imaging device of the present invention may be manufactured as an original part of an endoscope. If the detachable imaging device is needed to provide a rear or retrograde view of an abnormality, the detachable imaging device is installed on the end region of the insertion tube. Alternatively, if the detachable imaging device is not needed, the endoscope can be used without the detachable imaging device.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows an endoscope according to one embodiment of the present invention.

FIG. 2 is a view of the distal end of the insertion tube of the endoscope of FIG. 1.

FIG. 3 is a perspective view of a detachable imaging device of the endoscope of FIG. 1.

FIG. 4 shows a transparent link connecting the attachment and the imaging element of a detachable aging device.

FIG. 5 is another perspective view of the detachable imaging d

FIG. 6 is a view of a distal end region of the insertion tube having a tacky surface.

FIG. 7 is a view of a distal end region of the insertion tube having a circular groove.

FIG. 8 is an exploded perspective view of the imaging element housing.

FIG. 9 is a perspective view of the imaging element printed circuit.

FIG. 10 is a perspective view of a detachable imaging device with a forward viewing imaging unit, a forward facing light source, and a channel.

FIGS. 11a, 11b, 12a, and 12b show a support mechanism of an endoscope of the present invention.

FIG. 13 shows an endoscope according to another embodiment of the present invention.

FIG. 14 shows an endoscope according to a further embodiment of the present invention,

FIG. 15 shows an insertion tube having a connector for connecting a detachable imaging device to the wires in the insertion tube.

DETAILED DESCRIPTION OF EMBODIMENTS OF THE INVENTION

FIG. 1. illustrates an exemplary endoscope 10 of the present invention. This endoscope 10 can be used in a variety of medical procedures in which imaging of a body tissue, organ, cavity or lumen is required. The types of procedures include, for example, anoscopy, arthroscopy, bronchoscopy, colonoscopy, cystoscopy, EGD, laparoscopy, and sigmoidoscopy.

As shown in FIG. 1, the endoscope 10 may include an insertion tube 12 and a control handle 14 connected to the insertion tube 12. The insertion tube 12 may be detachable from the control handle 14 or may be integrally funned with the control handle 14. The diameter, length and flexibility of the insertion tube 12 depend on the procedure for which the endoscope 10 is used. The insertion tube 12 may be made from or coated with a lubricious material to allow for easy insertion into and easy extraction from a patient

The control handle 14 may include one or more control knobs 16 that are attached to control cables 18 (FIG. 2) for the manipulation of the insertion tube 12. Preferably, the control cables 18 are symmetrically positioned within the insertion tube 12 and extend along the length of the insertion tube 12. The control cables 18 may be anchored at or near the distal end of the on tube 12 such that the rotation of the control knobs 16 moves or bends the insertion tube 12 up and down and/or side to side. In some embodiments, a clutch or breaking component (not shown) may be included with the control knobs 16 to prevent the knobs 16 from being inadvertently rotated such that rotation can only be caused by application of a certain degree of torque to the control knobs 16.

Preferably, the control handle 14 has one or more ports and/or valves. In the embodiment illustrated in FIG. 1, the control handle 14 has two ports and/or valves 20. The ports and/or valves 20 are in communication with their respective channels 22 (FIG. 2) extending through the insertion tube 12. “Y” junctions can be used to designate two ports to a single channel or one port to two channels. The ports and/or valves 20 can be air or water valves, suction valves, instrumentation ports, and suction/instrumentation ports. In some embodiments, one of the channels can be used to supply a washing liquid such as water for washing. A cap (not shown) may be included at the opening of the washing channel to divest the washing liquid onto a lens of an imaging device for cleaning. Another channel may be used to supply a gas, such as CO₂ or air into the organ. The channels may also be used to extract fluids or inject fluids, such as a drag in a liquid carrier, into the body. Various biopsy, drug delivery, and other diagnostic and therapeutic devices may also be inserted via the channels to perform specific functions. In some embodiments, various tools may be used with the endoscope 10, such as a retractable needle for drug injection, hydraulically actuated scissors, clamps, grasping tools, electrocoagulation systems, ultrasound transducers, electrical sensors, heating elements, laser mechanisms and other ablation means.

As illustrated in FIG. 2, the insertion tube 12 may additionally include one or more light sources 24, such as light emitting diodes (LEDs) or fiber optical delivery of light from an external light source, and an imaging device 26, The imaging device 26 may include, for example, a lens, single chip sensor, multiple chip sensor or fiber optic implemented devices. The imaging device 26, in electrical communication with a processor and/or monitor, may provide still images or recorded or live video images. Each light source 24, individually, can be turned on or off. The intensity of each can be adjusted to achieve optimum imaging.

An accessory outlet 28 (FIG. 1) at a proximal end of the control handle 14 provides fluid communication between the air, water and suction channels and the pumps and related accessories. The same outlet or a different outlet can be used for electrical lines to light and imaging components at the distal end of the insertion tube 12.

As illustrated in FIGS. 1 and 3, the endoscope 10 preferably includes a detachable imaging device 30 attached to the distal end region of the endoscope's insertion tube 14. The detachable imaging device 30 includes an attachment 32 for detachably attaching the imaging device 30 to the distal end region of the insertion tube 14, a wireless imaging element 34, and a link 36 connecting the wireless imaging element 34 to the attachment 32

In this embodiment, which is also shown in FIG. 5, the attachment 32 is configured as a ring. Preferably, the attachment 32 has an inner diameter that is designed to provide a friction fit between the inner surface 38 of the attachment 32 (FIG. 5) and a cylindrical outer surface of the distal end region of the insertion tube 14. This may mean that in the pre-install condition the inner diameter of the attachment 32 is smaller than the outer diameter of the distal end region of the insertion tube 14. When the attachment 32 is slid on the insertion tube 14, the inner surface 38 of the attachment 32 compresses against the outer surface of the insertion tube 14 to provide the friction fit. To secure the attachment 32 on the insertion tube 32, the inner surface 38 of the attachment 32 may include a tacky and/or elastic surface. In some embodiments, this surface may be the surface of a rubber or silicon inner ring 40 (FIG. 5). The rubber or silicon inner ring 40 may be attached to the rest of the attachment 32 by means of an adhesive, welding, mechanical over molding, or snaps. Alternatively, the attachment 32 may be made entirely from rubber or silicon. In general, the attachment can be made from any compressive rubber or polymer or a combination thereof.

In some cases such as when the detachable imaging device 30 is made as an original part of the endoscope 10 (i.e., not as a retrofit device), the distal end region of the insertion tube 14 may have one or more features that help retain the detachable imaging device 30. For example, as shown in FIG. 6, the distal end region of the insertion tube 14 may include a tacky surface 39 that engages with the tacky inner surface 38 of the attachment 32 to enhance the friction fit between the attachment 32 and the insertion tube 14. Alternatively or additionally, as shown in FIG. 7, the distal end region of the insertion tube 14 may include a circular groove 41 around the distal end region of the insertion tube 14 for receiving the attachment 32. In general, the distal end region of the insertion tube 14 may include any features that enhance the attachment of the detachable imaging device 30 to the distal end region of the insertion tube 14.

In general, the attachment may be of any suitable configuration that can detachably attach the detachable imaging device 30 to the distal end region of the insertion tube 14. For example, the attachment may be an elastic tube that can be elastically wrapped around the distal end region of the insertion tube 14. Alternatively, the attachment may include one or more screws that can be screwed to attach the imaging device to the distal end region of the insertion tube 14 or unscrewed to detach the imaging device from the distal end region of the insertion tube 14. The attachment may also be similar to the way by which a suction cap for endoscopic mucosal resection is attached to a colonoscope. In general, a suitable attachment may use one or more of, for example, a clamp arrangement, a snap fit, a plastic friction fit, or bonding.

The link 36 connects the imaging device 34 to the attachment 32. In the illustrated embodiment, the link 36 is a generally elongated, flat, straight bar, although the link may be configured in any suitable manner. For example, the link may be curved and may have a circular or square cross-section. The link may comprise one pole, as shown in FIG. 3, or two or more poles to enhance support to the imaging element 34. In some embodiments, the link may be made from a transparent material, and as shown in FIG. 5 the transparent link may be a transparent tube 36 a connected to the circumferences of the attachment 32 and imaging element 34, Preferably, the link 36 is suitably flexible to make it easier for the imaging device to negotiate and accommodate the flexures along the body cavity.

Preferably, the wireless imaging element 34 has an imaging unit 42 and a light source 44 such as an LED, as shown in FIG. 5. In this embodiment, the imaging unit 42 and light source 44 are placed on the proximal end 46 of the wireless imaging element 34, although they tray be placed at any suitable locations on the imaging element 34, including on the distal end or side of the aging element 34 or both. Preferably, the imaging unit 42 faces backwards towards the main imaging device 26 and is oriented so that the imaging unit 42 and the main imaging device 26 can be used to provide different views of the same area. In the illustrated embodiment, the imaging unit 42 provides a retrograde view of the area, while the main imaging device 26 provides a front view of the area.

Since the main imaging device 26 and the imaging unit 42 of the detachable imaging device 30 face each other, the light source 24, 44 of one imaging device 26, 30 interferes with the other imaging device 30, 26. To reduce the interference, polarizer filters may be used with the imaging devices 26, 30 and light sources 24, 44. The main imaging device 26 and its light sources 24 may be covered by a first set of polarizer filters of the same orientation. And the wireless imaging unit 42 and light source 44 may be covered by a second set of polarizer filters orientated at 90° relative to the first set of polarizer filters. The use of polarizer filters to reduce light interference is well known and will not be described in detail herein.

As an alternative to polarizer filters, the imaging devices 26, 30 and their light sources 24, 44 may be turned on and off alternately to reduce or prevent light interference. In other words, when the main imaging device 26 and its light sources 24 are turned on, the imaging unit 42 and its light source 44 are turned off. And when the main imaging device 26 and its light sources 24 are turned off, the imaging unit 42 and its light source 44 are turned on. Preferably, the imaging devices 26, 30 and their light sources 24, 44 are turned on and off at a sufficiently high frequency that eyes do not sense that the light sources are being turned on and off.

The imaging element 34 may include a switch (not shown) that is used to connect power to the circuitries of the imaging element 34. When the switch is turned on, the circuitries of the imaging element 34 are activated and the imaging unit 42 starts capturing images and transmitting image signals. The switch can be a membrane switch mounted on the imaging element 34. The switch may be sealed with a biocompatible film (not shown), which can encase the imaging element or a section thereof to fully seal the switch.

In some embodiments, a wireless switch may be provided in placement of, or in addition to, the manual switch. The wireless transceiver of the imaging device 34 may continually search for a wireless enable signal from a particular address device or at a particular frequency. This signal enables a logic command to all the circuits in the imaging device 34 to switch from a low current sleep mode to a full current operating mode.

The wireless imaging element 34 preferably includes a housing 48 a, 48 b for accommodating the wireless imaging unit 42 and light source 44. The housing 48 a, 48 b of the wireless imaging element 34 preferably includes two housing elements 48 a, 48 b. The housing elements 48 a, 48 b preferably have features, such as pins and sockets, which allow the wireless imaging unit 42 and light source 44 to be securely mounted within the housing elements 48 a, 48 b. The housing elements 48 a, 48 b are sealingly attached to each other to maintain biocompatibility of the wireless imaging element 34 and prevent contaminants from entering the wireless imaging element 34. The housing elements 48 a, 48 b may be sealingly attached to each other in any suitable manner, including ultrasonic or friction welding or adhesive bonding. The housing 48 a, 48 b may include windows 50, 52 for the imaging unit 42 and light source 44, respectively. Preferably, each window 50, 52 is sealed with a thin clear cover that is attached to the housing 48 a, 48 b. In some embodiments, the windows 50, 52 may be the polarizer filters described previously.

In a preferred embodiment, a housing element 48 a, the link 36, and the attachment 32 form a unitary unit made by means of, for example, injection molding. The other housing element 48 b may be separately formed by means of, for example, injection molding. Preferably, the molded units are fabricated from a biocompatible material such as a biocompatible plastic. Alternatively, the housing elements 48 a, 48 b, the link 36, and the attachment 32 may be made as separate parts from the same material or different materials and then attached to one another to form the wireless imaging device 10.

In the preferred embodiment shown in FIGS. 8 and 9, the circuitry for the wireless imaging unit 42 is formed on a printed circuit board (PCB) 54. The circuitry for the light source 44 may also be formed on the PCB 54. In this preferred embodiment, the circuitries for the imaging unit 42 and light source 44 are mounted on one side of the PCB 54, and a power source 56, such as a button battery cell, is clipped onto the other side of the PCB 54. The wireless imaging element 34 may include a lens 58, image sensor 60, wireless transceiver 62, power management unit 64, clock or crystal 66, and signal processing unit 68 as required by wireless communication. The positive and ground power clips (not shown) holding the power source 56 are connected to the power and ground planes of the PCB 54 respectively to supply power to the circuitries on the PCB 54.

The image sensor 60 may be any suitable device that converts light incident on photosensitive semiconductor elements into electrical signals. Such a device may detect color or black-and-white images. The signals from the sensor are digitized and used to reproduce the image. Two commonly used types of image sensors are Charge Coupled Devices (CCD) such as LC 99268 FB produced by Sanyo of Osaka, Japan and Complementary Metal Oxide Semiconductor (CMOS) camera chips such as the OVT 6910 produced by OmniVision of Sunnyvale, Calif.

The image data acquired by the image sensor 60 are transmitted to the signal processing unit 68 for processing. The processing may include one or more of multiplexing, encoding into radio frequencies, and compression. The wireless protocol used for image data transmission preferably is approved for medical use and meets the data rate requirements for the image sensor output. Suitable wireless protocols include, for example, the 802.11 and Bluetooth standards. The Bluetooth standard operates in the industrial, scientific and medical band (ISM hand), has low transmit power, and causes minimal interference. The output formats for the image sensor 60 and the integrated circuits for image signal processing are well known in the electronics industry and are not explained in further detail. Once the image signal is converted to a suitable format, the wireless transceiver 62 transmits the data to an external control box over the operation frequency. Examples of wireless frequency bands used for similar devices include the 900 MHz and 2.4 GHz bands. Once received by a wireless rec r or transceiver of the external control box, the image signal is fed to a signal processing circuit which converts it to a video signal such as NTSC composite or RGB. This video signal is then sent to a suitable connector for output to a display device such as a monitor or television. In some embodiments, the images from the detachable imaging device 30 and from the train imaging device 26 can be shown together on the same display device.

The external control box may include a PCB mounted circuitry in a housing which transmits, receives and processes wireless signals, The external control box has one or more of a wireless transceiver, AC receptacle, decoding circuitry, control panel, image and signal processing circuitry, antenna, power supply, and video output connector.

The external control box may also be used as an interface to the patient records database. A large number of medical facilities now make use of electronic medical records. During the procedure relevant video and image data may need to be recorded in the patient electronic medical records (EMR) file. The signal processing circuit can convert image and video data to a format suitable for filing in the patient EMR file such as images in .jpeg, tif, or .bmp format among others. The processed signal can be transmitted to the medical professional's computer or the medical facilities server via a cable or dedicated wireless link. A switch on the control panel can be used to enable this transmission. Alternatively the data can be stored with a unique identification for the patient in electronic memory provided in the control box itself The signal processing circuit can be utilized to convert the video and image data to be compatible with the electronic medical records system used by the medical professional. The processing may include compression of the data. A cable or a wireless link may be used to transmit the data to a computer.

The image and signal processing circuitry of the external control x includes one or multiple integrated circuits and memory as needed along with associated discrete components. This circuit allows the video signals to be processed for enhancing image quality, enabling still images to be extracted from the video and allow conversion of the video format to provide multiple output formats. These functions can be interfaced for access via the control panel.

The external control box may be used to adjust the parameters of the imaging sensor 60. Preferably, the image sensor 60 allows different parameters such as brightness, exposure time and mode settings to be adjusted. These parameters may be adjusted by writing digital commands to specific registers controlling the parameters. These registers can be addressed by their unique numbers and digital commands can be read from and written to these registers to change the parameters. The control box is used to control these parameters by transmitting data commands to these registers through the wireless protocol. The signal processing circuit on the detachable imaging device 30 receives and then decodes these signals into commands and feeds them to the image sensor. This allows the various parameters to be adjusted.

In some embodiments of the present invention, the power source 56 of the detachable imaging device 30 is a rechargeable power source. The rechargeable power source can be recharged in any suitable manner. For example, the rechargeable power source may be recharged via pins provided on the detachable imaging device. The pins preferably are made from a biocompatible material and retain its biocompatibility after sterilization up to a required number of times.

Alternatively, the rechargeable power source may be charged via inductive charging. One advantage of inductive charging is that it does not required physical contact between the charger and the detachable imaging device. This allows the detachable imaging device to be fully sealed without any circuit components or metals such as the charge pins being exposed to body liquids.

In operation, the power switch may be turned on first to activate the detachable imaging device 30. At this point, the detachable imaging device 30 begins transmitting captured digital images wirelessly to the external control box. The control box then processes the image signals and sends them to a display so that a medical professional can visualize the images in real time. Once the detachable imaging device 30 is turned on, it can be attached to the distal end region of the endoscope's insertion tube 12, as shown in FIGS. 1 and 2. At this point, the main imaging device 26 provides a front view of an area, while the detachable imaging device 30 provides a rear or retrograde view of the same area. During the medical procedure, the endoscope is inserted into a patient with the detachable imaging device 30 attached to the distal end region of the insertion tube 12. The medical professional can simultaneously visualize images from the main imaging device 26 and from the attached imaging device 30. Lesions hidden from the main imaging device 26 behind folds and flexures can now be viewed by the medical professional from the images provided by the detachable imaging device 30. When the procedure is complete, the endoscope is removed from the patient, and the detachable imaging device 30 can be detached from the distal end region of the endoscope's insertion tube 12.

The control panel of the external control box can be used to adjust the parameters of the detached imaging device 30 to achieve an optimum image quality. Still images can be obtained using the control panel. During the procedure, relevant video and image data may be recorded in the patients electronic medical records (EMR) file.

The wireless imaging element 34 may additionally include a forward viewing imaging unit 70 and a forward facing light source 72, as shown in FIG. 10. This forward viewing imaging unit 70 allows more effective navigation of the endoscope 10. Additionally, to allow an accessory to reach the area in front of the wireless imaging element 34, the wireless imaging element 34 may be configured so as not to obstruct one or more channels 22 of the insertion tube 12. For example, the wireless imaging element 34 may be made small enough so that it does not obstruct one or more channels 22 of the insertion tube 12. Alternatively, the wireless imaging element 34 may include a channel 74 (FIG. 10) aligned with a channel 22 of the insertion tube 12. This channel 74 allows an accessory to reach the area in front of the wireless imaging element 34.

The endoscope 10 may further include a support mechanism, which increases the rigidity of the detachable imaging device 30 during insertion of the endoscope 10 into the body. This support mechanism preferably reduces or eliminates the bending of the link 36 of the detachable imaging device 30 during insertion. An embodiment 80 of the support mechanism is shown in FIGS. 11a, 11b, 12a, and 12b . The exemplary support mechanism 80 includes a rod 82 that is rigid at its distal end region 84 but is otherwise flexible. The exemplary support mechanism 80 may further include a locking mechanism 86 that locks the distal end of the rad 82 to the wireless imaging element 34. As shown in FIGS. 11b and 12b , the lock mechanism 86 includes treating grooves 88, 90 that are disposed on the distal end of the rod 82 and the wireless imaging element 34, respectively. The grooves 88, 90 can be interlocked by applying a torque to turn the rod 82 at the proximal end of the insertion tube 12, and can be unlocked by applying a torque in the opposite direction. The proximal end (not shown) of the rod 82 can be locked to the channel entry port to secure the locking mechanism 86 in the locked position.

Before the insertion of the endoscope 10 in the body, the rod 82 is introduced from the proximal end of the insertion tube 12 into a channel 22 of the insertion tube 12, and the locking mechanism 86 locks the distal end of the rod 82 to the wireless imaging element 34. At this position, the rigid distal end region 84 of the rod 82 keeps the detachable imaging device 30 rigid. After the insertion of the endoscope 10 in the body, the locking mechanism 86 can be unlocked, and the rod 82 can be retracted from the channel 22 of the insertion tube 12.

In some embodiments of the present invention, as shown in FIG. 13, an endoscope 100 may include a detachable imaging device 134 that uses wires 102 to communicate with the external control box, including transmitting video signals to the external control box and receiving power and control signals from the external control box. With this arrangement, the operation of the detachable imaging device 134 is not limited by battery life. As shown in FIG. 13, the wires 102 may be embedded in a sheath 104 which slides over the insertion tube 112 of the endoscope 100. This allows the channels 122 of the insertion tube 112 to be used by accessories and the endoscope 100 to retain all of its designed functions. Preferably, the sheath 104 is made from a biocompatible material such as latex, silicon and medical grade rubbers which are flexible enough to not restrict the movement of the insertion tube 112 and firmly grip the outer surface of the insertion tube 112. Alternatively this sheath 104 may replace the outer covering of the insertion tube 112 so that it would serve the dual function of covering the insertion tube 112 and the wires 102 without increasing the diameter of the insertion tube 112.

FIG. 14 illustrates additional embodiment 200 of the present that includes an insertion tube 212 and an attachment 232 mounted on the distal end region of the insertion tube 212. This attachment 232 may have some or all of features of the attachment 32 shown in FIGS. 3 and 5. Additionally, the attachment 232 is configured to accommodate one or more imaging units 242 and light sources 244 of the endoscope 200. In other words, the entire detachable imaging device 230 is mounted on the distal end region of the insertion tube 212 and does not extend beyond the distal end of the insertion tube 212. The imaging units 242 and light sources 244 may be mounted at any suitable locations on the attachment 232 and may be oriented in any directions. In this embodiment, the imaging units 242 and light sources 244 are placed on a proximal end of the attachment 232 and face backwards, although they may be alternatively or additionally placed on a distal end and/or side of the attachment 232 and face forwards and/or sideways. The imaging units 242 and light sources 244 may be evenly spaced around the attachment 232. The images from the imaging units 242 may be incorporated or combined to form a larger or more complete view of the body cavity such as a 360° view of the body cavity. One advantage of the embodiment shown in FIG. 14 is the reduction or elimination of the mutual light interference between the main imaging device 26 and the imaging units 242 on the attachment 232 because the imaging units 242 and light sources 244 are placed behind the Main imaging device and light sources on the distal end of the insertion tube 212.

In a further embodiment of the present invention, an endoscope includes an insertion tube and a detachable imaging device detachably attached to the distal end region of the insertion tube. In this embodiment, the detachable imaging device communicates with the external control box via wires embedded in the insertion tube for power supply and/or data communication. The term “wires” is broadly defined to include any power and communication lines, such as metal wires and fiber optic cables. Preferably, as shown in FIG. 15, the insertion tube 312 has one or more connectors 313 for connecting the detachable imaging device to the wires in the insertion tube. In some embodiments, the one or more connector may be placed in the distal end region of the insertion tube. The one or more connectors may include one ore more power couplings 313 a for providing power from the endoscope's base to the detachable imaging device and/or one or more video couplings 313 b for coupling video images from the detachable imaging device to the base.

While particular embodiments of the present invention have been shown and described, it will be obvious to those skilled in the art that changes and modifications can be made without departing from this invention in its broader aspects. Therefore, the appended claims are to encompass within their scope all such changes and modifications as fall within the true spirit and scope of this invention. 

1-64. (canceled)
 65. A procedural endoscope, comprising: a catheter designed to position a minimally-invasive procedural working device to the site of a procedure, and to carry manipulation commands to the working device; a first camera and first illumination source at or near the distal end of the catheter, designed to and positioned to the catheter to illuminate and capture video of a physiological region and of a minimally-invasive surgical procedure at the region by the working device; a detachable camera apparatus comprising: a second camera and second illumination source designed to and positioned to the catheter to illuminate and capture video of the physiological region and procedure; an attachment designed to affix the detachable camera apparatus at or near the distal end of a surgical endoscope, and to hold the affixation against stresses typical to projecting an endoscope to a surgical site; a structural link designed to project from the attachment beyond the distal end of the endoscope, and to hold the second camera positioned to face proximally, back toward the distal end of the endo scope, the structural link having sufficient strength to maintain that positioning despite stresses typical to projecting an endoscope to a surgical site; and a wireless signal link designed to transmit video from the camera to a receiver outside the patient; the first and second cameras being positioned to the catheter opposed or nearly opposed to each other, designed to and positioned to capture nearly-opposing views of the procedure at the physiological region; a mechanism to reduce interference between the first camera vs. the second illumination source, and between the second camera vs. the first illumination source.
 66. A procedural endoscope, comprising: a catheter designed to position a minimally-invasive procedural working device to the site of a procedure, and to carry manipulation commands to the working device; a first camera and first illumination source at or near the distal end of the catheter, designed to and positioned to the catheter to illuminate and capture video of a physiological region and of a procedure at the region by the working device; a second camera and second illumination source designed to and positioned to the catheter to illuminate and capture video of the physiological region and procedure; the first and second cameras being positioned to the catheter to provide alternative views of the procedure at the physiological region.
 67. The procedural endoscope of claim 66, further comprising: a mechanism to reduce interference between the first camera vs. the second illumination source, and between the second camera vs. the first illumination source.
 68. The procedural endoscope claim 66, further comprising: optical polarization filters arranged to reduce interference between the first camera vs. the second illumination source, and between the second camera vs. the first illumination source.
 69. The procedural endoscope of claim 66, further comprising: circuitry designed to attenuate the second illumination source at times when the first camera is capturing an image, and to attenuate the first illumination source at times when the second camera is capturing an image.
 70. The procedural endoscope of claim 66, wherein: the first and second cameras are positioned to the catheter opposed or nearly opposed to each other, designed to and positioned to capture nearly-opposing views
 71. The procedural endoscope claim 66: wherein the second camera and second illumination source are mounted in a detachable camera apparatus comprising: an attachment designed to affix the detachable camera apparatus at or near the distal end of the procedural endoscope, and to hold the affixation against stresses typical to projecting an endoscope to a surgical site; a structural link designed to project from the clip beyond the distal end of the endoscope, and to hold the second camera positioned to face proximally, back toward the distal end of the endoscope, the structural link having sufficient strength to maintain that positioning despite stresses typical to projecting an endoscope to a surgical site; and a signal connection designed to transmit video from the camera to a receiver outside the patient.
 72. The detachable camera apparatus of claim 71, further comprising: a wireless signal link designed to transmit video from the camera to a receiver outside the patient.
 73. A detachable camera apparatus, comprising: a camera and illumination source designed to illuminate and capture video at a minimally-invasive surgical procedure of a patient at the working end of a procedural endoscope; an attachment designed to affix the detachable camera apparatus at or near the distal end of a surgical endoscope, and to hold the affixation against stresses typical to projecting an endoscope to a surgical site; a structural link designed to project from the clip beyond the distal end of the endoscope, and to hold the camera positioned to face proximally, back toward the distal end of the endoscope, the structural link having sufficient strength to maintain that positioning despite stresses typical to projecting an endoscope to a surgical site; and a signal connection designed to transmit video from the camera to a receiver outside the patient.
 74. The detachable camera apparatus of claim 73, further comprising: a wireless signal link designed to transmit video from the camera to a receiver outside the patient.
 75. The detachable camera apparatus of claim 73, wherein the structural link is made from a transparent material.
 76. The detachable camera apparatus of claim 73, wherein the structural link is flexible.
 77. The detachable camera apparatus of claim 73, further comprising a support mechanism that increases the rigidity of the detachable imaging device and reduces the bending of the structural link.
 78. The detachable camera apparatus of claim 73, wherein: the attachment includes a ring slightly smaller than the outer diameter of the distal end region of the insertion tube to provide the friction fit.
 79. The detachable camera apparatus of claim 73, wherein: the attachment includes a ring with a rubber or silicone inner surface.
 80. The detachable camera apparatus of claim 73, further comprising: a catheter designed to position a minimally-invasive procedural working device to the site of a procedure, and to carry manipulation commands to the working device; a second camera and second illumination source at or near the distal end of the catheter, designed to and positioned to the catheter to illuminate and capture video of a physiological region and of a procedure at the region by the working device; the detachable camera apparatus being designed to position the camera of the detachable camera apparatus to the catheter to provide a view alternative to the second camera of the procedure at the physiological region.
 81. The procedural endoscope of claim 80, further comprising: a mechanism to reduce interference between the first camera vs. the second illumination source, and between the second camera vs. the first illumination source. 